Applicant groups are limited to groups consisting of a hospital and one or more medical groups from Texas, Oklahoma, New Mexico and Colorado, and the substance of the applications is limited to bundling of payments for specified cardiac and orthopedic services. Word is that the federales want to get these demos up and running by next January. Having been involved in developing a couple of gainsharing demonstration project applications that gained preliminary approval in the review process but that have languished without final agency approval (under both the MMA 646 and DRA 5007 demos), I wonder whether the 2009 implementation date is real.